Individual
JOSEPH JAMES RUBASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(218) 333-5000
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
R144870-0
MN
363LF0000X
Family Nurse Practitioner
Primary
3490
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
083K4RU
BCBS
MN
05
—
814672100
—
MN
Enumeration date
08/22/2006
Last updated
05/17/2022
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